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. 2025 Oct 16;21(10):e1013595.
doi: 10.1371/journal.pcbi.1013595. eCollection 2025 Oct.

Drug-disease networks and drug repurposing

Affiliations

Drug-disease networks and drug repurposing

Austin Polanco et al. PLoS Comput Biol. .

Abstract

Repurposing existing drugs to treat new diseases is a cost-effective alternative to de novo drug development, but there are millions of potential drug-disease combinations to be considered with only a small fraction being viable. In silico predictions of drug-disease associations can be invaluable for reducing the size of the search space. In this work we present a novel network of drugs and the diseases they treat, compiled using a combination of existing textual and machine-readable databases, natural-language processing tools, and hand curation, and analyze it using network-based link prediction methods to identify potential drug-disease combinations. We measure the efficacy of these methods using cross-validation tests and find that several methods, particularly those based on graph embedding and network model fitting, achieve impressive prediction performance, significantly better than previous approaches, with area under the ROC curve above 0.95 and average precision almost a thousand times better than chance.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. A bipartite network of drugs and diseases of the type considered here.
Nodes in the network are of two types—drugs and diseases—and edges connect only nodes of unlike types to indicate which drugs are indicated for treatment of which diseases. The network is assumed to be incomplete, so some edges that should be present are missing from the data (dashed lines). Our goal is to identify these.
Fig 2
Fig 2. Visualization of the complete network of drugs, diseases, and their therapeutic interactions.
Drug nodes are shown in blue and disease nodes in yellow.
Fig 3
Fig 3. A visualization of the network of drugs and diseases.
In this figure, we show (circles) a subset of the diseases in our network, those falling in the ten most common disease categories, as labeled, along with the shared drugs that connect them together (gray squares).
Fig 4
Fig 4. (a) Receiver operating characteristic (ROC) curves for seven of the best performing algorithms.
The dashed diagonal line represents the expected performance of a no-skill (random) classifier. Inset: Area under the curve (AUROC) for the microcanonical SBM for various fractions of edges removed. (b) Precision/recall curves for the same selection of algorithms. Colors are the same as in (a). Inset: Top-100 precision and area under the prediction/recall curve (AUPR) for each algorithm.

References

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